OrganizationActive
Ortho Shock Wave Therapy, Inc.
NPI 1356430482 · Specialist · Costa Mesa, CA
Ortho Shock Wave Therapy, Inc. is a Specialist organization in Costa Mesa, CA (NPI 1356430482).
Provider details
- NPI number
- 1356430482
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Dale Willetts, Chief Executive Officer(714) 966-9335
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3636 Harbor Blvd
H2
Costa Mesa, CA 92626
Phone: (714) 966-9335
Fax: (714) 966-9706
Approximate (ZIP-level) locationGet directions
Mailing address
3303 Harbor Blvd
Costa Mesa, CA 92626-1530
Registry dates
- Enumerated
- 2006-10-12
- Last updated
- 2020-08-22
Frequently asked questions
- What is Ortho Shock Wave Therapy, Inc.'s NPI number?
- Ortho Shock Wave Therapy, Inc.'s National Provider Identifier (NPI) is 1356430482, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ortho Shock Wave Therapy, Inc.?
- Ortho Shock Wave Therapy, Inc. is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Ortho Shock Wave Therapy, Inc. located?
- Ortho Shock Wave Therapy, Inc.'s practice location on file with NPPES is 3636 Harbor Blvd, Costa Mesa, CA 92626.
- What is Ortho Shock Wave Therapy, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Ortho Shock Wave Therapy, Inc. is (714) 966-9335.
- Who is the authorized official for Ortho Shock Wave Therapy, Inc.?
- The authorized official listed on Ortho Shock Wave Therapy, Inc.'s NPPES record is Dale Willetts, Chief Executive Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ortho Shock Wave Therapy, Inc.'s NPI active?
- Yes — Ortho Shock Wave Therapy, Inc.'s NPI (1356430482) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.